Scottish pay scales April 2007

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					NHS Circular: PCS(DD)2007/6

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Health Directorates
Workforce Dear Colleague ASSOCIATE ADVISER/ASSISTANT DIRECTOR PAY SCALES Summary 1. This pay circular notifies employers of a new payscale for Associate Advisers and Assistant Directors. Background 2. Following the implementation of an Interim Agreement for Associate Adviser and Assistant Director sessional scales in September 2003, and a review of the role of GP Educators, Scottish Ministers agreed that the remuneration and conditions of service for Associate Advisers and Assistant Directors should be varied to reflect the activities undertaken by these staff and to provide a system of progression within these roles. 3. The Department subsequently issued a Direction on 2 February 2005 to enable NHS Education for Scotland (NES) to apply the new Associate Adviser/Assistant Director payscales with effect from 1 April 2004. These rates were subsequently increased following recommendations from the Doctors‟ and Dentists‟ Pay Review Body from 1 April 2005, 1 April 2006 and 1 April 2007. 4. Following advice from the Scottish Standard Payroll Project Team, the Department now understands that there may be a small group of staff in these grades in Boards who have not received the new rates of pay.
7 June 2007 ______________________________ Addresses For action Chairs, NHS Boards and Special Health Boards and NHS National Services Scotland Chief Executives, NHS Boards and Special Health Boards and NHS National Services Scotland Directors of Finance, NHS Boards and Special Health Boards and NHS National Services Scotland Directors of Human Resources, NHS Boards and Special Health Boards and NHS National Services Scotland For information Medical Directors, NHS Boards and Special Health Boards and NHS National Services, Scotland Members, Scottish Partnership Forum Members, Scottish Terms and Conditons Committee Members, Scottish Workforce and Governance Group

______________________________ Enquiries to: Ms Brenda Burnett Scottish Executive Health Directorates Workforce St Andrew‟s House EDINBURGH EH1 3DG Tel: 0131-244 2473 Fax: 0131-244 2837 E-mail: Brenda.burnett@scotland.gsi.gov.uk

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Action 5. NHS Boards are therefore asked to make the necessary arrangements to ensure that any such staff are placed on the appropriate rates of pay and that any arrears of pay are paid promptly. Boards should also notify former employees of any arrears of pay due to them; and where their current address is in doubt, enquiries should be made to confirm it so that payment can be made. 6. NHS Boards should notify the Scottish Public Pensions Agency of any increase in superannuable remuneration and contributions arising from the payment of arrears to former employees. 7. NHS Boards are asked to note that the scale for Assistant Directors Scale GP06 Grade AD03 has been added from 1 April 2004. 8. NHS Boards are asked to note that in the original Direction issued on 2 February 2005 third point of the 2004 scale should have read £77,500 not £77,000. the

9. NES have asked us to advise NHS Boards and Special Health Boards of the progression arrangements for this group of staff. To assist NHS Boards in ensuring that the Associate Advisors/Assistant Directors are placed on the correct scale, reference should be made to the framework on competencies and attributes for GP educators (copy attached at Annex B). Normally after 1 year the individual moves from the introductory year to the next point, and progression thereafter is dependent on competencies and years of experience, subject to appraisal and review. There should be an annual appraisal and review. Yours sincerely

ALEX KILLICK Assistant Director for Workforce Employment and Retention

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NHS Circular: PCS(DD)2007/6

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DIRECTION VARYING APPROVED REMUNERATION AND CONDITIONS OF SERVICE 1. The Cabinet Secretary for Health and Wellbeing, in exercise of the powers conferred on her by Section 105(7) of and paragraph 5 of Schedule 1 to the National Health Service (Scotland) Act 1978, hereby gives to NHS Boards, Special Health Boards and NHS National Services Scotland the following Direction. 2. The Cabinet Secretary for Health and Wellbeing has agreed that the remuneration and conditions of service for Associate Advisers and Assistant Directors may be varied in accordance with paragraph 3 of this Direction to reflect the activities undertaken by these staff and to provide a system of progression within these roles. 3. This Direction enables NHS Boards, Special Health Boards and NHS National Services Scotland to apply the Associate Adviser/Assistant Director payscales outlined in Annex A to this Direction for the 4 years from 1 April 2004 – 30 March 2008. These payscales are to be read in conjunction with the framework on competencies and attributes for GP educators outlined in Annex B.

ELINOR MITCHELL

Scottish Executive Health Directorates St Andrew‟s House EDINBURGH EH1 3DG 7 June 2007 BB021APR2007

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ANNEX A ASSOCIATE ADVISER/ASSISTANT DIRECTOR PAYSCALES 1 April 2004 Scale (England) Associate Advisers GP00 GP01 GP02 Assistant Directors GP03 GP04 GP05 GP06 1 April 2005 Scale (England) Associate Advisers GP00 GP01 GP02 Assistant Directors GP03 GP04 GP05 GP06 1 April 2006 Scale (England) Associate Advisers GP00 GP01 GP02 Assistant Directors GP03 GP04 BB021APR2007 Grade (Scotland) Annual Whole Sessional Rate per Time Salary* Annum
(based on tenths)**

Grade (Scotland) Introductory Year AA01 AA02 AA03 AD01 AD02 AD03

Annual Whole Time Salary* £72,000 £75,000 £77,500 £80,500 £83,000 £85,500 £88,500

Sessional Rate per Annum
(based on tenths)**

£7,200 £7,500 £7,750 £8,050 £8,300 £8,550 £8,850

Grade (Scotland) Introductory Year AA01 AA02 AA03 AD01 AD02 AD03

Annual Whole Time Salary* £74,160 £77,250 £79,825 £82,915 £85,490 £88,065 £91,155

Sessional Rate per Annum
(based on tenths)**

£7,416 £7,725 £7,982 £8,291 £8,549 £8,806 £9,115

Introductory Year AA01 AA02 AA03 AD01

£75,792 £78,950 £81,578 £84,739 £87,371

£7,579 £7,895 £8,157 £8,473 £8,737

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NHS Circular: PCS(DD)2007/6 GP05 GP06 1 April 2007 Scale (England) Associate Advisers GP00 GP01 GP02 Assistant Directors GP03 GP04 GP05 GP06 Grade (Scotland) Annual Whole Sessional Rate per Time Salary* Annum
(based on tenths)**

AD02 AD03

£90,002 £93,160

£9,000 £9,316

Introductory Year AA01 AA02 AA03 AD01 AD02 AD03

£77,308 £80,529 £83,210 £86,434 £89,119 £91,803 £95,024

£7,730 £8,052 £8,321 £8,643 £8,911 £9,180 £9,502

*Based on salary scales effective at 1 April. **A session is based on a 4 hour sessional commitment.

Notes 1. It is anticipated that opportunities will exist for GP educators to be paid on a higher scale point for agreed periods, covering specific and time limited pieces of work. This enhancement may be applied to some or all of existing sessions by written agreement with the deanery. 2. Annual appraisal of performance and professional development should include a review of GP educators‟ position of the pay scale. 3. The progression is normally as follows. After 1 year the individual moves from the introductory year to the next point, and progression thereafter is normally dependent on competencies and years of experience, subject to appraisal and review.

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ANNEX B

FRAMEWORK EDUCATORS
Introduction

ON

COMPETENCIES

AND

ATTRIBUTES

FOR

GP

1. These notes are to be read with the Postgraduate GP Educators Pay Scale GP00-06. These posts are usually part time appointments, and most will be held by clinical practitioners working in primary care. They provide the basis for the expected competencies and responsibilities at each level of the scale and may be used to derive job descriptions, performance assessments and appraisal. 2. (Appraisal is deemed to signify the formal (yet confidential) process of identifying achievements and needs for personal and professional development of employees. The agreed outcome of appraisal may be used for future reflection and consideration of motivation and ability to achieve personal objectives). 3. The scale ranges from GP00 to GP06 and is intended to include the following: Initial (preparatory) year Course Organiser, CPD/PCT Tutor, HPE Tutor/Programme Director Associate Director/Associate Adviser* (see glossary) of Postgraduate GP Education Deputy Director of Postgraduate GP Education

GP00 GP01-2 GP03-5 GP06

4. Each point below is described in general terms with a detailed description of competencies expected to be present at that scale point. The scale mirrors increasing expertise and the move from a primarily hands on educator to educator/manager with developmental and strategic responsibility. Generally, progression will depend on satisfactory performance review (to agreed objectives) and full participation in annual appraisal. Initial appointments to posts within bands GP00-02, GP03-5 and GP06 should be by equal opportunity and open competition. It is expected that Directors or other employers would have some flexibility to reward long service in the delivery of sustained high quality education as well as the attainment of new competencies within each post. 5. The competencies may contribute to:

performance assessment; recruitment specification; personal professional development; assessment of the appropriateness of additional remuneration for short term projects posts at any grade. Scale Point Descriptors

or

6. GP00 - Initial year. Post holders should normally have begun work on a Cert.Ed., attended a Deanery Foundation course or be able to provide evidence of an equivalent level of interest after one BB021APR2007

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NHS Circular: PCS(DD)2007/6 year. Normally post holders will be a licensed medical practitioner with at least three years experience in a career grade GMS/PMS post. In exceptional circumstances, health professionals in non career grade posts or with two years experience in particular teaching environments may be considered. 7. Expected competencies and attributes are: The Educator should have evidence of good clinical care in his own professional practice:                 Maintains a high standard of professional practice and personal values in relation to patients and their care; Membership or imminent membership of the RCGP or equivalent by examination or assessment of performance; Maintains availability and accessibility to patients; Maintains a high standard of clinical competence; Possesses effective interpersonal communication skills and networks effectively; Understands and offers a wide experience of primary care and the NHS and appreciates the responsibilities of teaching in the NHS. Aware of the needs of the service and has the improvement of patient‟s health as a main priority. Approaches the work with enthusiasm; Demonstrates intellectual curiosity; Displays empathy and interest in the learners; Is open while keeping personal information confidential, fulfilling the Data Protection Act. Is impartial, objective and non-discriminatory; Demonstrates probity and upholds the law and relevant regulations; Will take appropriate action if patient safety is threatened; Works well as part of a team; Is sensitive and responsive to others educational needs;

 Is an excellent problem solver. 8. GP01 post holders will be established postgraduate educators. They should be working towards a Diploma in Medical Education, or demonstrate an equivalent level of competence (usually BB021APR2007

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NHS Circular: PCS(DD)2007/6 with peer reviewed work) after the first three years at this level. Post holders should possess all of the competencies and attributes at GP00. In addition:            Will have continued clinical work in a peer-reviewed practice; Demonstrate competence in appraisal/revalidation; Demonstrate recent evidence of a satisfactory assessment of communication skills; Maintain an acceptable balance between clinical work, teaching and home life; Have a mutually appreciative and respectful relationship with colleagues; Have a satisfactory educational appraisal; Reflect on and be aware of their own strengths, weaknesses and limitations; Accept and respond positively to evaluation and feedback; Audit and evaluate their teaching; Demonstrate evidence of improving their teaching and learning; Demonstrate commitment to teaching.

The Educator will have a wide knowledge about adult learning as applied in medical education. This will include:          Principles of adult education; types of learning, modalities of learning (eg problem based learning), learning styles, distance learning; The assessment of educational need and curriculum planning; Motivational techniques and an understanding of professional development; Small group learning and facilitation; Interprofessional education; New educational technologies; Mentorship and supervision; Evaluation and assessment techniques, including feedback; Is able to prioritise workload;

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NHS Circular: PCS(DD)2007/6 Recognises the difference between being a facilitator, mentor and advocate; Demonstrates creativity in their teaching.

The Educator is able to teach clinical and practical skills, appropriate attitudes, time management and decision making skills in their place of work. They are a good role model for learners. They will guide learners to fulfill their own needs in relation to the needs of the Service. The Educator can provide:   The Educator: Appraises: Helps assess a learners needs, assisting learners to plan education to meet those needs in an appropriate timescale. Plans: Facilitates the setting of appropriate outcome measures, encouraging the recording of progress and reflection on the learners experience.   Specifies the content and teaching strategy to match the outcomes. Always has a written learning plan. The evidence base for teaching techniques in one teaching episode; Documented outcomes from learner.

Acts: Is aware of and can direct learners to appropriate resources.   Can locate or if necessary develop learning resources. Develops learners self-assessment skills and autonomy, including using learning contracts where necessary.

Reflects: Encourages objective review of the learning points, with reflection and constructive feedback where necessary      Considers potential lessons and any new learning needs Chooses appropriate assessment instruments Uses a portfolio or personal development plan for themselves and learners Uses formative assessment for the benefit of the learner Can undertake written, oral or clinical assessments of learners.

GP02 – Post holders will have been promoted based on evidence of increased responsibilities, leadership with new initiatives, provision of special expertise and developments required by the Deanery. They should normally have at least four years experience in GP education. BB021APR2007

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NHS Circular: PCS(DD)2007/6 In addition to GP00 and GP01, the Educator should:        Understand the role of the Educator as a researcher and educational manager Encourage a multi-professional approach to clinical teaching while appreciating doctors as Educators and learners in a multi-professional team Understand the influence of the environment on learning Have knowledge of educational research, audit and development Facilitate and monitor the functioning of trainer groups and workshops Develop political and advocacy skills Use evidence-based education as a basis for their teaching

The Educator can teach individuals and groups. This may involve preparing and giving lectures, using audiovisual aids, choosing and using appropriate small group teaching methods and organising larger conferences. Larger conferences may require chairmanship skills and an understanding of financial planning and marketing. The Educator:   Facilitates learners self-assessment but can produce and interpret learner profiles Uses a range of tools for evaluating courses and other Educators.

Senior Grades 03-06 Previous grades have described the attributes for practical educators in primary care. Appointment to the post of Associate Director or Adviser on GP Education signifies a wider remit with responsibility for strategy, human resource development, service delivery and budgetary management. The relevant areas in the competency framework are:  Will manage the resources at their disposal to achieve the greatest benefit for patients and the needs of the service. This may require an understanding of organisational behaviour and development, budgetary management, strategic planning, marketing, innovation and modern human resource practice. There should be evidence of organisational change and staff development through the Educator‟s actions. Encourages educational research using sound techniques.

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GP03 This post delineates a senior Educator and would be the initial grade for Associate Advisers and Associate Directors. Normally this practitioner will have considerable experience and standing in primary care in addition to at least five years experience in GP education (e.g. to have undertaken the role of GP trainer and/or GP lecturer plus, GP course organiser and/or GP tutor). The Educator

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will have an M.M.Ed. or be able to demonstrate educational capability to this level, in addition to having demonstrable management skills at scheme or project level.  Their attributes and competencies will include GP00-03, but additionally:

Experience: at least 5 years experience in GP education,  Personal responsibilities: Continuing own educational development, usually by reading, writing and as a member of a recognised post graduate educational organisation (UKCEA, NAPCE or equivalent).

Local functions:          Liasing with PCTs as Deanery lead National functions:   GP04 Leading areas of new operational accountability. Complex maintenance work that has to comply with agreed national standards. Leading and establishing work for new initiatives that support NHS developments and/or deanery performance. BB021APR2007 Contributing to the national development Contributing to summative assessment nationally Supporting and facilitating educational research of Deanery areas of responsibility Registrar development and support Trainer development, support and appraisal Course organiser development, support and appraisal Educational supervision of trainer groups and workshops Tutor/Programme Director development, support and appraisal Involvement in managing and supporting summative assessment in the Deanery Operating educational certification schemes Managing and supporting the retainer, flexible career and returner schemes Managing VTS appointments

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NHS Circular: PCS(DD)2007/6 Subsumes GP00-04, with additionally: Experience: Having undertaken work at the level of Associate Director for at least one year. Having had individual responsibility for established Deanery projects or work areas. Personal responsibility: Continuing own educational development, usually by reading, writing and as a member of a recognised post graduate educational organisation (UKCEA, NAPCE or equivalent). Contributing original articles to the literature of medical education. Local functions:            Developing local strategy for specific areas with supervision Assuming budgetary management for specific areas of work or projects Deputising for the Director at local meetings Sole responsibility for managing areas of summative assessment Responsibility for practice development and training practice approval Providing career advice National functions: Demonstrating change as a result of the educators regional work Organising national meetings in specific work areas Providing advice at a national level about specific work areas Accepting managerial responsibility for the specific work areas

GP05 Lead role in work of national importance that results in „central‟ guidance or delivery of quality and standards in patient care, delivery of postgraduate education or modernisation of the NHS. Experience: The most senior grade for an associate director. Usually will have three years experience at this level. Subsumes GP00-04. Personal responsibilities: Continuing own educational development, usually by reading, writing and as a member of a recognised post graduate educational organisation (UKCEA, NAPCE or equivalent). Contributing original articles to the literature of medical education.

Local functions:  Lead role with less supervision in specific work areas.

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NHS Circular: PCS(DD)2007/6       Management of underperformance in local doctors Deanery hospital accreditation visits. National functions: Lead role of national importance that results in “central” guidance Lead role for Deanery on project work nationally Advisory capacity nationally for specific work areas

GP06 Lead functions in Primary Care Education for the Deanery. This role would involve many aspects of the Director‟s responsibilities including the development of policies and strategies for their delivery. Educators in this position should be capable of progressing to the post of Director of Postgraduate General Practice Education. They would normally have at least four years experience at the Associate Adviser level; this would be the grade for a Deputy Director. Experience: at least four years experience as an adviser. Has experience of leading on several specific work areas for the Deanery. Personal responsibilities: Continuing own educational development, usually by reading, writing and as a member of a recognised post graduate educational organisation (UKCEA, NAPCE or equivalent). Contributing original articles to the literature of medical education. Local functions:     Managing Deanery inspection visits by PMETB (go to the glossary) Budgetary responsibility for complex work areas Full management responsibility for complex work areas Responsible for educator training, course development and management Responsible for quality assurance for Deanery work Responsible for educator appraisal system and management of poor educator performance

National functions:    Deputising for Director at national meetings Undertaking PMETB national visits Receiving referrals of complex cases, e.g. GMC performance referrals Responsibility for quality assurance strategies in national work Advising national bodies on strategy, development and implementation of complex areas of medical education

Other issues to be clarified: 1. Process for the assimilation of existing staff to the new grade- left to Deanery.

2. Staged appeals process – National panel under the „umbrella‟ of COGPED but drawing upon major stakeholders (from UKCEA, NAPCE, ACO) and HR. BB021APR2007

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NHS Circular: PCS(DD)2007/6 3. Progression along the scale – will be governed by two key factors:

Personal competence/experience as agreed at annual appraisal; Needs of the deanery in order to deliver a business plan. 4. Funding of educators CPD (eg diploma course) – should be managed locally by deaneries. Standards to be agreed at “national”level. Authors Dr. Richard Flew - Associate Adviser in General Practice – Oxford Deanery Chairman UKCEA Dr. Mair Hopkin VT Course Organiser – Wales, Chairman ACO Dr. John Howard - Associate Director of General Practice Education, Mersey Treasurer NAPCE Dr. Pat Lane - Director of Postgraduate General Practice Education Chairman COGPED (+ acknowledgement Paul Loveland (DoH), Tony Americano (HR adviser – London deanery), Hamish Meldrum & colleagues (GPC) and the Directors of COGPED). Glossary ACO – Associaton of Course Organisers Associate Advisers - Previously deputies to GP Regional Advisers who managed GP vocational training and continuing medical education for GPs. In Scotland this title has also been used for VTS course organisers who have a different level of responsibility. Associate Directors (Associate Postgraduate Deans in some deaneries) - New term for associate advisers evolved from 1996 when Regional Advisers were assimilated, (as Directors of Postgraduate General Practice Education), into joint contracts with the Department of Health and host universities. COGPED Course Organisers - Committee of General Practice Education (UK). Responsible for the day to day administration and delivery of training programmes for general practice (vocational training schemes). Most schemes developed after 1969. CPD – Continuing professional development DoH (DH) – Department of Health GMC – General Medical Council GMS – General Medical Services GP – General Practitioner GPC – General Practitioners Committee (of the British Medical Association) GP tutors - General Practitioners with responsibility for providing and/or quality assurance of continuing medical education, and latterly, continuing professional development for GPs. BB021APR2007

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NHS Circular: PCS(DD)2007/6 HPE – Higher professional education HR – Human resource JCPTGP The Joint Committee on Postgraduate Training for General Practice

NHS – National Health Service PCT – Primary Care Trust PMETB - Postgraduate Medical Education and Training Board (replaces the JCPTGP from 1 October 2004 PMS – Personal medical services Primary Care tutors - Similar role to GP tutors but linked specifically to Primary Care Trusts RCGP – Royal College of General Practitioners NAPCE – National Association of Primary Care Educators UKCEA – United Kingdom Conference of GP Education Advisers VTS - Vocational training scheme

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